Laserfiche WebLink
PERMIT APPLICATION <br />�ITY OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ( O`� ��� <br />SITE ADDRESS <br />� �'�' i c � s `� (�(. �,/ <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />� c q,�s+�-, <br />�Ju�,J <br />TENANTNAME <br />„�dQ��� (;n,r�y y <br />CONTR. LICENSE # <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />TRACT OR SUo01VIS�ON # <br />PEkMIT # <br />'�II';l�-C� <br />�oorc iyf��?�,,�✓ ���,��� 9�,���1 <br />�ni <br />CONTACT FOR PF!tMl I PHONE <br />HEATSOURCE <br />Electric _ Gas _ Olher <br />WORKDESCRIPTION ��Jrny I��prU^C 'jG^� 4' ''n� D'4� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavalory (vrash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backflov� preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drain5 <br />Olher <br />ns <br />y,o� <br />CONTRAGT Plt�ct ur wvrcn <br />,� `/�0�% <br />yGs ��,,�p�acL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />� Gas piping <br />Wat?r heater <br />L Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />. Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriify that I have read and examined lhis application and know lhe same to be irue and correct. All provisions of laws and <br />ordinances governing lhis lype ot work will be complied with whether specified herein or nol. The granling of a permit does not presume <br />to give authority to violate or cancel ihe provision of any other state or local law regulating constmction or lhe pertormance of <br />construction. That I am authorized by the owner of lhis property to perform the work for which applicalion is made and I comply with lhe <br />State ContrCtorekaw�$27 RCV�a^d 296200 WAC. <br />